back of the horse. This impulse is then interpreted by the riders body, and it allows for regulation of mediolateral and anteroposterior postural sway, adaptation to new environments, anticipatory and feedback postural control and better use of multi sensory posture and movement related inputs (Keon et al., 2011). A normal vaccination schedule should be adhered to, as preventable diseases may take away energy that a person with CP would normally use in day-to-day life. Therapy Physiotherapy (also known as physical therapy) programs are designed to encourage the patient to build a strength base for improved gait and volitional movement, together with stretching programs to limit contractures. Physiotherapists can teach parents how to position and handle their child for activities of daily living. The need for lifelong physiotherapy for muscle tone, bone structure and preventing joint dislocation has been debated in terms of the costs and benefits of such therapy. Children may find long-term physical therapy boring. Physiotherapy exercises are designed to improve balance, postural control, gait, and assist with mobility and transferring the person with CP, for example from a wheelchair to a bed. Speech therapy helps control the muscles of the mouth and jaw, and helps improve communication. Just as CP can affect the way a person moves their arms and legs, it can also affect the way they move their mouth, face and head. This can make it hard for the person to breathe; talk clearly; and bite, chew and swallow food. Speech therapy often starts before a child begins school and continues throughout the school years. Biofeedback is a therapy in which people learn how to control their affected muscles. Biofeedback therapy has been found to significantly improve gait in children with cerebral palsy. Mirror therapy has been used to improve hand function and was found to be "generally effective in enhancing muscle strength, motor speed, muscle activity, and the accuracy of both hands". Second-generation mirror therapy, which includes the use of robotics or virtual reality, has been developed since the 2000s, however the evidence supporting this is of low quality. Massage therapy is designed to help relax tense muscles, strengthen muscles, and keep joints flexible. Gait analysis is often used to describe gait abnormalities in children. Gait training has been shown to improve walking speed in children and young adults with cerebral palsy. Occupational therapy helps adults and children maximise their function, adapt to their limitations